Active NPI
Shoaib Alam, MD
- Pulmonary Disease Physician
- Glen Allen, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101244150
- Practice address
- 9100 Pond Mill CT
Glen Allen, VA 23060-2858 - Phone
- (717) 608-0040
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 010244150 | VA | |
| Pulmonary Disease Physician | 207RP1001X | 0101244150 | VA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101244150 | VA |
Addresses
Primary practice location
9100 Pond Mill CT
Glen Allen, VA 23060-2858
Mailing address
9100 Pond Mill CT
Glen Allen, VA 23060-2858
Phone (717) 608-0040
Other practice location 1
519 Harriet St
Evansville, IN 47710-1715
Phone (812) 450-7720
Other practice location 2
4015 Gateway Blvd
Newburgh, IN 47630-8925
Phone (812) 450-7720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300021573 | Medicaid | IN | |
| 1009558420001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, AR, IN, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Western Ave
305A Conway Regional Multispecialty Clinic
Conway, AR 72034-4982
Phone (501) 358-6145
825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700
Hospital & facility affiliations
- O U Medical Center
- Conway Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010244150 | VA | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Critical Care Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| CHI Health Clinic Specialty, LLC | Pulmonary Disease | Current | Accepting new patients |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Conway Regional Medical Center, Inc | Pulmonary Disease | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Ou Medicine Inc. | Past | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
525 Western Ave
Ste 301
Conway, AR 72034
Phone (501) 513-5295
525 Western Ave
Ste 305A
Conway, AR 72034
Phone (501) 358-6145
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
2708 S Rife Medical Ln
Ste T20
Rogers, AR 72758
Phone (479) 338-3080
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
519 Harriet St
Evansville, IN 47710
Phone (812) 423-9699
4015 Gateway Blvd
#2121
Newburgh, IN 47630
Phone (812) 450-7720
4015 Gateway Blvd
Newburgh, IN 47630
Phone (812) 858-6244
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
1122 NE 13th St
#262
Oklahoma City, OK 73117
Interoperability endpoints
- salam59643@ouhealth.direct-ci.net
- shoaib.alam@hca6.eclinicaldirectplus.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pulmonary Disease Physician
- Conway, AR
- NPI 1003478462
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Family Medicine Physician
- Conway, AR
- NPI 1043183544
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
- Pulmonary Disease Physician
- Evansville, IN
- NPI 1972798312
Critical Care Medicine
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1699016774
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1649794157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1962451245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 POND MILL CT",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230602858",
"telephone_number": "717-608-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 POND MILL CT",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230602858",
"telephone_number": "717-608-0040"
}
],
"practiceLocations": [
{
"address_1": "519 Harriet St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477101715",
"country_code": "US",
"telephone_number": "812-450-7720",
"fax_number": "812-450-7730",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4015 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308925",
"country_code": "US",
"telephone_number": "812-450-7720",
"fax_number": "812-450-7730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALAM",
"first_name": "SHOAIB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-06",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "VA",
"license": "010244150",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101244150",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101244150",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300021573",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009558420001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.